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乳腺癌筛查——欧洲的经验

Breast cancer screening--the European experience.

作者信息

Perry N M

机构信息

Breast Assessment Centre, St. Bartholomew's Hospital, London, UK.

出版信息

Int J Fertil Womens Med. 2004 Sep-Oct;49(5):228-30.

PMID:15633481
Abstract

Europe, despite its division into multiple nations even with a European Union, now enjoys a uniformly high level of cancer detection by virtue of the Europe Against Cancer Program, begun in 1986. The program's aim was reducing cancer mortality by 15% by the year 2000. Its operating arm, the European Breast Cancer Network, compared and reported on the pilot projects in the member states. Some early results were poor, with high recall rates (up to 28%); the main cause was poor image quality. By 1992, the Network had published the first European Guidelines for Quality Assurance in Mammography Screening. Since then, oversight provided by the Network has produced not only excellence in results across the continent but also data on the interpretation of mammograms that could be of value to mammography programs everywhere.

摘要

欧洲尽管被划分为多个国家,即使有欧盟存在,但借助1986年启动的“欧洲抗癌计划”,现在癌症检测水平普遍较高。该计划的目标是到2000年将癌症死亡率降低15%。其运营机构欧洲乳腺癌网络对成员国的试点项目进行比较并发布报告。一些早期结果不佳,召回率很高(高达28%);主要原因是图像质量差。到1992年,该网络发布了第一份欧洲乳腺钼靶筛查质量保证指南。从那时起,该网络提供的监督不仅在整个欧洲大陆产生了出色的结果,还产生了有关乳腺钼靶解读的数据,这些数据可能对各地的乳腺钼靶项目有价值。

相似文献

1
Breast cancer screening--the European experience.乳腺癌筛查——欧洲的经验
Int J Fertil Womens Med. 2004 Sep-Oct;49(5):228-30.
2
[European recommendations for quality assurance in the setting of mammographic screening for breast cancer. Report of pathologists of the working group "Breast Cancer Screening" of the European Union].[欧洲乳腺癌钼靶筛查质量保证建议。欧盟“乳腺癌筛查”工作组病理学家报告]
Ann Pathol. 1996 Nov;16(5):315-33.
3
[Evaluation of mass screening for breast cancer in the Somme district (France) between 1990 and 1996].[1990年至1996年法国索姆省乳腺癌群体筛查评估]
Rev Epidemiol Sante Publique. 1999 Sep;47(4):335-41.
4
Breast cancer--screening data for assessing quality of services--New York, 2000-2003.乳腺癌——评估服务质量的筛查数据——纽约,2000 - 2003年
MMWR Morb Mortal Wkly Rep. 2004 Jun 4;53(21):455-7.
5
European Guidelines for Quality Assurance in Cervical Cancer Screening. Europe against cancer programme.《子宫颈癌筛查质量保证欧洲指南》。欧洲抗癌计划。
Eur J Cancer. 1993;29A Suppl 4:S1-38.
6
Late-stage breast cancer among women with recent negative screening mammography: do clinical encounters offer opportunity for earlier detection?近期乳腺钼靶筛查结果为阴性的女性中的晚期乳腺癌:临床诊疗是否提供了早期检测的机会?
J Natl Cancer Inst Monogr. 2005(35):39-46. doi: 10.1093/jncimonographs/lgi036.
7
The 2003 Australian Breast Health Survey: survey design and preliminary results.2003年澳大利亚乳房健康调查:调查设计与初步结果。
BMC Public Health. 2008 Jan 14;8:13. doi: 10.1186/1471-2458-8-13.
8
Ascertainment and evaluation of interval cancers in population-based mammography screening programmes: a collaborative study in four European centres.基于人群的乳腺钼靶筛查项目中间隔期癌症的确定与评估:欧洲四个中心的合作研究
J Med Screen. 2005;12(1):43-9. doi: 10.1258/0969141053279077.
9
[The PAM program for the early detection of breast cancer: the initial results (1987-1990). Programa de Detección Precoz de Alteraciones Mamarias].[乳腺癌早期检测的PAM项目:初步结果(1987 - 1990年)。乳腺病变早期检测项目]
Med Clin (Barc). 1991 Feb 16;96(6):206-10.
10
[Economic approach to breast cancer screening in Belgium].[比利时乳腺癌筛查的经济学方法]
Rev Med Brux. 2001 Sep;22(4):A277-81.

引用本文的文献

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Feasibility and acceptability of conducting a randomized clinical trial designed to improve interpretation of screening mammography.探讨旨在提高筛查性乳房 X 光摄影解读的随机临床试验的可行性和可接受性。
Acad Radiol. 2013 Nov;20(11):1389-98. doi: 10.1016/j.acra.2013.08.017.
2
Impact of an educational intervention designed to reduce unnecessary recall during screening mammography.旨在减少筛检性乳房 X 光摄影中不必要召回的教育干预措施的影响。
Acad Radiol. 2012 Sep;19(9):1114-20. doi: 10.1016/j.acra.2012.05.003. Epub 2012 Jun 23.
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Using a tailored web-based intervention to set goals to reduce unnecessary recall.
使用定制的基于网络的干预措施来设定减少不必要召回的目标。
Acad Radiol. 2011 Apr;18(4):495-503. doi: 10.1016/j.acra.2010.11.017. Epub 2011 Jan 20.